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I did a little more reading on this EE. Sounds like complications can arise with this if not controlled. Dysphagia (Difficulty swallowing) is one of them. If problem get bad enough the esophagus can inflame and cause food compaction, this will cause vomiting. If the reflux ...

... will help the patient relearn basic functions. Cognitive issues that affect daily functions must be addressed. Patients may have dysarthria, dysphagia, or aphasia. Due to this, a structured speech therapy program may be needed to improve swallowing, recover speech, and prevent further complications ...